Document 0024
 DOCN  M9460024
 TI    [Visceral leishmaniasis and HIV infection: the diagnostic and
       therapeutic problems]
 DT    9404
 AU    Rocha PS; Rebocho L; Alvoeiro L; Lourenco G; Branco R; Victorino RM; de
       Moura MC; Servico de Medicina 2, Hospital Universitario de Santa Maria,;
       Lisboa.
 SO    Acta Med Port. 1993 Nov;6(11):543-6. Unique Identifier : AIDSLINE
       MED/94189307
 AB    We present the case of an HIV-seropositive drug addict patient whose
       seropositivity was unknown until admission to hospital, where he
       presented with a clinical picture of fever splenomegaly and weight loss.
       A diagnosis of visceral leishmaniasis was established. We stress the
       diagnostic difficulties well expressed in the need to repeat the bone
       marrow aspirate to detect the presence of leishmanias. The lack of
       response to conventional antimonial therapy is discussed as well as the
       role of pentamidine as an alternative therapy.
 DE    Adult  Animal  AIDS-Related Opportunistic Infections/*DIAGNOSIS/DRUG
       THERAPY  Case Report  Drug Therapy, Combination  English Abstract
       Fever/DIAGNOSIS  Hepatomegaly/DIAGNOSIS  Heroin Dependence/COMPLICATIONS
       Human  HIV Seropositivity/*DIAGNOSIS/DRUG THERAPY  HIV-1/*IMMUNOLOGY
       Leishmania donovani/ISOLATION & PURIF  Leishmaniasis,
       Visceral/*DIAGNOSIS/DRUG THERAPY  Male  Splenomegaly/DIAGNOSIS  JOURNAL
       ARTICLE

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